Umbilical heterotopic pancreas in an infant: a case report
Introduction: Heterotopic pancreas is a rare congenital anomaly in which pancreatic tissue is located outside its normal anatomical position without any ductal or vascular connection to the main pancreas. Umbilical heterotopic pancreas is extremely uncommon. Case presentation: A 5-month-old male was...
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Elsevier
2025-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576625000983 |
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| author | Abdulkarim Hasan Basheer Abdullahi Jabo Zakaria Elaskary Khaldon Abdulrahman Alaghbari Mohamed Abbas Ibrahim Khalid Nafie |
| author_facet | Abdulkarim Hasan Basheer Abdullahi Jabo Zakaria Elaskary Khaldon Abdulrahman Alaghbari Mohamed Abbas Ibrahim Khalid Nafie |
| author_sort | Abdulkarim Hasan |
| collection | DOAJ |
| description | Introduction: Heterotopic pancreas is a rare congenital anomaly in which pancreatic tissue is located outside its normal anatomical position without any ductal or vascular connection to the main pancreas. Umbilical heterotopic pancreas is extremely uncommon. Case presentation: A 5-month-old male was brought to our clinic due to persistent clear umbilical discharge since birth. He was born at term following an uneventful pregnancy and delivery, with no antenatal or perinatal complications. Physical examination revealed a mildly erythematous umbilicus with serous discharge but no signs of infection or systemic illness. The initial diagnosis was umbilical granuloma. Due to persistent symptoms, we took the patient to the operating room for a surgical excision. Intraoperatively, a small firm nodule was identified beneath the umbilical skin. The lesion was well-circumscribed but inseparable from the overlying umbilical tissue. There was no communication with intra-abdominal viscera. Complete excision of the umbilicus and the subcutaneous lesion was performed, followed by umbilicoplasty. Histopathological analysis revealed ectopic pancreatic tissue composed of acini, ducts, and islets of Langerhans, confirming the diagnosis of umbilical heterotopic pancreas. The patient recovered uneventfully and was discharged home on the second postoperative day. At four-weeks of follow-up, the surgical site was well healed, with no recurrence or discharge. Conclusion: Although rare, umbilical heterotopic pancreas should be included in the differential diagnosis of infants who present umbilical discharge. |
| format | Article |
| id | doaj-art-68df6af6d4dd4b11abe38a1787f71bb0 |
| institution | DOAJ |
| issn | 2213-5766 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj-art-68df6af6d4dd4b11abe38a1787f71bb02025-08-20T02:47:24ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662025-09-0112010305310.1016/j.epsc.2025.103053Umbilical heterotopic pancreas in an infant: a case reportAbdulkarim Hasan0Basheer Abdullahi Jabo1Zakaria Elaskary2Khaldon Abdulrahman Alaghbari3Mohamed Abbas Ibrahim4Khalid Nafie5Department of Laboratory, Prince Mishari bin Saud Hospital in Baljurashi, Al-Baha Health Cluster, Ministry of Health, Al-Baha, Saudi ArabiaPediateric Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria; Department of Pediateric Surgery, Prince Mishari bin Saud Hospital in Baljurashi, Al-Baha Health Cluster, Ministry of Health, Al-Baha, Saudi ArabiaDepartment of Paediatrics, Prince Mishari bin Saud Hospital in Baljurashi, Al-Baha Health Cluster, Ministry of Health, Al-Baha, Saudi ArabiaDepartment of Plastic Surgery, Prince Mishari bin Saud Hospital in Baljurashi, Al-Baha Health Cluster, Ministry of Health, Al-Baha, Saudi ArabiaDepartment of General Surgery, Threban General Hospital, Makkah Health Cluster, Ministry of Health, Namera, Saudi ArabiaDepartment of Laboratory, Prince Mishari bin Saud Hospital in Baljurashi, Al-Baha Health Cluster, Ministry of Health, Al-Baha, Saudi Arabia; Department of Pathology, Republic of Sudan Federal Ministry of Health, Khartoum, Sudan; Corresponding author. Pathology Department, Republic of Sudan Federal Ministry of Health G6Q+83H, Ministry of Health, Khartoum, 11115, Sudan.Introduction: Heterotopic pancreas is a rare congenital anomaly in which pancreatic tissue is located outside its normal anatomical position without any ductal or vascular connection to the main pancreas. Umbilical heterotopic pancreas is extremely uncommon. Case presentation: A 5-month-old male was brought to our clinic due to persistent clear umbilical discharge since birth. He was born at term following an uneventful pregnancy and delivery, with no antenatal or perinatal complications. Physical examination revealed a mildly erythematous umbilicus with serous discharge but no signs of infection or systemic illness. The initial diagnosis was umbilical granuloma. Due to persistent symptoms, we took the patient to the operating room for a surgical excision. Intraoperatively, a small firm nodule was identified beneath the umbilical skin. The lesion was well-circumscribed but inseparable from the overlying umbilical tissue. There was no communication with intra-abdominal viscera. Complete excision of the umbilicus and the subcutaneous lesion was performed, followed by umbilicoplasty. Histopathological analysis revealed ectopic pancreatic tissue composed of acini, ducts, and islets of Langerhans, confirming the diagnosis of umbilical heterotopic pancreas. The patient recovered uneventfully and was discharged home on the second postoperative day. At four-weeks of follow-up, the surgical site was well healed, with no recurrence or discharge. Conclusion: Although rare, umbilical heterotopic pancreas should be included in the differential diagnosis of infants who present umbilical discharge.http://www.sciencedirect.com/science/article/pii/S2213576625000983Heterotopic pancreasUmbilical dischargePediatric surgeryCase report |
| spellingShingle | Abdulkarim Hasan Basheer Abdullahi Jabo Zakaria Elaskary Khaldon Abdulrahman Alaghbari Mohamed Abbas Ibrahim Khalid Nafie Umbilical heterotopic pancreas in an infant: a case report Journal of Pediatric Surgery Case Reports Heterotopic pancreas Umbilical discharge Pediatric surgery Case report |
| title | Umbilical heterotopic pancreas in an infant: a case report |
| title_full | Umbilical heterotopic pancreas in an infant: a case report |
| title_fullStr | Umbilical heterotopic pancreas in an infant: a case report |
| title_full_unstemmed | Umbilical heterotopic pancreas in an infant: a case report |
| title_short | Umbilical heterotopic pancreas in an infant: a case report |
| title_sort | umbilical heterotopic pancreas in an infant a case report |
| topic | Heterotopic pancreas Umbilical discharge Pediatric surgery Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576625000983 |
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